Individual provider Active NPI

Ryan Robert Meyers, P.T.

  • Physical Therapist
  • Ventura, CA
National Provider Identifier
1104849785
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28752 Issued in CA
Practice address
2807 Loma Vista Rd
Suite 104
Ventura, CA 93003-1500
Phone
(805) 641-3843
Fax
(805) 641-3854
NPI assigned
Jul 25, 2006
Last updated
Feb 3, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT28752 CA Primary

Addresses

Primary practice location

2807 Loma Vista Rd
Suite 104
Ventura, CA 93003-1500

Mailing address

2807 Loma Vista Rd
Suite 104
Ventura, CA 93003-1500
Phone (805) 641-3843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712001476 CA Practitioner - Physical Therapist in Private Practice 3870571110 Receives reassigned benefits from 1 practitioner
Practice locations: Ventura, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2807 Loma Vista Rd
Ventura, CA 93003-1579
Phone (805) 641-3843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28752CAMDPsychologist
PT28752CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Biomotion Physical Therapy PC Physical Therapist PastSince Jul 12, 1999 Accepting new patients
Swanner & Associates Physical Therapy, Inc Physical Therapist Past Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1104849785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 LOMA VISTA RD",
            "address_2": "SUITE 104",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031500",
            "telephone_number": "805-641-3843",
            "fax_number": "805-641-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 LOMA VISTA RD",
            "address_2": "SUITE 104",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031500",
            "telephone_number": "805-641-3843",
            "fax_number": "805-641-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "RYAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.